Fillable Fire Detection Permit Form 2017 (Louisville Jefferson County Metro Government)

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Fire Detection Permit Form 2017 (Louisville Jefferson County Metro Government)

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BROWSE LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT (KY) FORMS

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Louisville-Jefferson County Metro Government
CONSTRUCTION REVIEW DIVISION
Department of Codes and Regulations
444 S. 5
th
St. – Louisville, KY 40202
Phone: 502.574.3321 Web Site: louisvilleky.gov/government/construction-review
F I R E D E T E C T I O N P E R M I T A P P L I C A T I O N
I hereby certify that I am the owner of record or the owner of record authorizes the proposed work and that I have been authorized to make this application as their authorized
agent. I understand that any false or inaccurate information on this application or the approved plans may result in revocation of the permit under Kentucky Building Code. No
deviation of the approved plan is allowed without approval by this office.
Signature of Owner or Agent
Date
Location:
Subdivision Name:
Lot #
(street address is required for all applications)
(If applicable)
Please provide a brief description of your project below:
Estimated Cost:
$
Square Footage:
Permit Fee:
$
(Do not include Electrical, Plumbing, HVAC or Land.)
(Total Square Footage of Project)
Applicant:
Email:
Applicant Type:
☐Architect
☐Engineer
☐Contractor
☐Other
Address:
Phone:
City:
State:
Zip:
Cell:
Owner:
Email:
Address:
Phone:
City:
State:
Zip:
Cell:
Detailed Information
Are NFPA Standards used in the design?
☐ YES
☐NO
Alarm Initiating Devices
Alarm Indicating Devices
☐Manual
☐Horns
☐Smoke Detectors
☐Speakers
☐Duct Detectors
☐Visuals
☐Heat Detectors
☐Bells
☐Water Flow
☐Voice
☐Tamper Switch
☐Other
Number of Zones:
Types of Supervision
☐Central Station
☐NFPA 71
☐Proprietary
☐NFPA 72
☐Remote Station
☐NFPA 72
☐Local Alarm
☐NFPA 72
Location of Annunciator:
Secondary Power Supply Type:
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1. The fee for new installation and or replacement of a sprinkler system shall be as follows:
Number Of Sprinklers Fee
Number Of Sprinklers Fee
4 - 200 $150
4 - 200 $150
201 - 300 $175
201 - 300 $175
301 - 400 $210
301 - 400 $210
401 - 750 $250
401 - 750 $250
OVER 750 $250 plus 20 cents
OVER 750 $250 plus 20 cents
a. The fee for reworking up to 50 sprinkler heads on an existing sprinkler system shall be $50. The fee for
reworking over 50 heads shall be calculated using fee table listed above in (1).
2. The fee for automatic and/or manual fire detection systems shall be as follows: 0 to 20,000 square feet shall
be $150; over 20,000 square feet shall be $150 plus $20 for each additional 10,000 square feet in excess of
20,000 square feet.
3. The fee for a standpipe system shall be $150 (On combination standpipe and sprinkler systems the sprinkler
permit fee includes the standpipe fee.
4. The fee for a carbon dioxide fire suppression system shall be $150 for the first 200 pounds of agent plus $.02
for every pound in excess of 200 pounds.
5. The fee for a clean agent suppression system shall be $150 for the first 35 pounds of agent plus $.06 for
each pound of agent in excess of 35 pounds.
6. The fee for a foam suppression system shall be $.50 per gallon of foam concentrate where the system is not
part of an automatic sprinkler system. Foam suppression systems that are submitted as part of an automatic
sprinkler system shall be reviewed under the sprinkler fee schedule. The minimum fee shall be $150; the
maximum fee shall be $ 1,500.
7. The fee for a range hood suppression system shall be $150.
8. The fee for a dry chemical suppression system shall be $150 for the first 30 pounds of agent plus $.25 for
each pound in excess of 30 pounds.
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Fire Detection Permit Form 2017 (Louisville Jefferson County Metro Government)

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Completed 3 August 2020

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